fall prevention in geriatric in-patient psychiatry - rgpeo fall prevention in geriatric...
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Fall Prevention in Geriatric In-patient Psychiatry
Second Annual Champlain LHIN Senior Friendly Hospital and the Rehabilitation Network of Champlain Symposium: March 26, 2015
Inter-professional Team
2
• Dietician
• Manager of Patient Care
• Nursing
• Occupational therapy
• Pharmacy
• Geriatrician
• Psychiatrist
• Physiotherapy
• Psychology
• Recreation therapy
• Social Work
• Support Services
Context
3
Geriatric psychiatry:
the study, prevention and treatment of mental illnesses
experienced by adults 65 years of age and older or younger
adults with age related dementia
43-bed geriatric inpatient psychiatry unit
Patient criteria: with severe, multiple and/or complex psychiatric illnesses
Geriatric Psychiatrist: Evaluated either in a community clinic, a long-term care
home or hospital prior to admission.
Length of stay: Less than 60 days
Source: 24% acute care, 45% LTC, 31% home
Environmental Strategies for Patients at Risk
• Nursing screening for Fall Risk
• O.T./ PT assessment
• Use of bed sensors
• Room modification (e.g. bed height)
• Access to room with ceiling lift
• Use of wheelchair alarms
6
Point of Care
Communication Board
• Who is responsible for care
• Pictogram showing level of
assistance
• Mobility care plan
• Today’s date
• Special instructions
Improving Communication with Point of Patient Care Boards
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